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Located in Maryland
Video Sessions Anywhere

If you are a current client, you may schedule an appointment at the button below. You will need to sign in to see all services.

Request Appointment

Are you interested in working with New Neese on Life?

If you are interested in working with New Neese on Life, please fill out the application of the service you are interested in.

Therapy Services - Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

What is your address?*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What is your general availability for appointment times?*

I understand that New Neese on Life does not currently accept secondary insurance. I understand that New Neese on Life is in network with the following insurance providers: Optum, United Health Care, Oxford Health Plans, Cigna, Aetna, UMR, Oscar, UHC Student Resources, All Savers UHC, Harvard Pilgrim, and Blue Cross/ Blue Shield. I understand that if my insurance is a subsidiary of any of these insurances, my eligibility must be checked by NNOL. I understand that if I choose to see a New Neese on Life provider and I don't have any of those insurances, it will be my responsibility to pursue out of network reimbursement for the out of pocket rate I will pay for sessions. (NNOL will provide information and documentation to make this process easy for you)**

Yes, I understand and I am in network

Yes, I understand that if I am out of network I will be paying out of pocket for these services, and that it is up to me to pursue reimbursement from my health insurance on my own.

I understand that New Neese on Life is currently only treating adults over the age of 18. By checking the box below I am certifying I am 18 years old or older.*

Yes, I am over the age of 18

I understand that New Neese on Life is an entirely virtual practice and in person sessions are not offered. I also understand that I must be located in the same state as my provider.*

Yes, I understand and I applying to see Micah and I currently live in Maryland

Yes, I understand and I applying to see Katelyn and I currently live in Massachusetts.

What do you hope to gain in therapy? What are you looking for in a therapist?*

Is there anything else you'd like for us to know?

Coaching Services - Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

What is your general availability for appointment times?*

By clicking "Yes, acknowledge" below, you are acknowledging that therapeutic coaching is NOT a replacement for licensed counseling.*

Yes, I acknowledge.

Please note that therapeutic coaching is not eligible for health insurance. Please review the "Fee Schedule" on the coaching page for current rates.*

Yes, I understand that I will be paying out of pocket for these services.

Therapeutic Coaching is not eligible for health insurance. Please review the coaching page for current rates.

I am interested in purchasing*

One session

Six Sessions

Ten Sessions

I don't know yet, let's talk about it.

What are you hoping to gain from therapeutic coaching and why do you feel it's the right step for you now?*

Part of therapeutic coaching is being held accountable - on a scale of 1 to 10 (1 being ‘not motivated at all’ and 10 being ‘I’m ready to dive in and change my life!’) What steps have you taken so far in your life to create accountability and desired change in your life?*

Which coach are you applying to work with?*

Joe Rasmussen

Katie Walker (Note: Katie's time zone is CST, please make sure you're checking the details of your appointment when booking.)

No Preference

ADHD Assessment - Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

NNOL Clinicians are only able to assess patients in the state where they are licensed. Please choose one of the following:*

I live in Maryland and I am applying to see Micah

I live in Massachusetts and I am applying to see Katelyn

By checking the box below I certify that I am either over the age of 18 or that I am a parent or guardian applying for assessment on behalf of a minor over the age of 15 years old.*

I am over the age of 18

I am a parent or guardian applying on behalf of a minor that is at least 15 years old.

I acknowledge that as a legal guardian of a minor I must be involved in the assessment process*

I Understand

What is your general availability for appointment times?*

I am interested in the*

Comprehensive ADHD Assessment

QBCheck Standalone Assessment

I'm not sure, help me decide!

Please briefly explain why you are choosing to pursue an ADHD assessment?*

New Neese on Life is unable accept health insurance for ADHD Assessments and can only provide documentation to seek reimbursement from your insurance. Please review the "Fee Schedule" on the ADHD Assessment page for current rates.*

Yes, I understand that I will be paying out of pocket for these services, and that it is up to me to pursue reimbursement from my health insurance on my own.

Energy Session - Application

"*" indicates required fields

Name*

First Last

Email*

Where are you located?

City State / Province / Region

Phone*

What is your general availability for appointment times?*

What type of session are you interested in scheduling?*

Energetic Reading and Healing

Intuitive Message Reading

Card Readings

Please note that all energy services are private pay (and not eligible for health insurance). Please check the "Energy Sessions" page for latest fee information.*

Yes, I understand that I will be paying for these services out of pocket.

Please explain what you are looking for in your energy session.*

Would you like to be added to our newsletter list (we promise we only send the good stuff!)*

Yes

No thank you

If you have a general question, you can contact us through our contact form below.

If you have a question for New Neese on Life, you can reach out to us here and we will email you back soon.

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